Active NPI
Melanie Quynh-Tien Kim, PHARM. D.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1568913770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH87795
- Practice address
- 9800 W Pico Blvd
Los Angeles, CA 90035-4713 - Phone
- (213) 800-8410
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | RPH028067 | GA | |
| Pharmacist | 183500000X | RPH87795 | CA | Primary |
Addresses
Primary practice location
9800 W Pico Blvd
Los Angeles, CA 90035-4713
Mailing address
1109 1/2 S Bronson Ave
Los Angeles, CA 90019-3221
Phone (404) 384-4649
Other practice location 1
13463 Washington Blvd
Marina Del Rey, CA 90292-5658
Phone (310) 754-2002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH87795 | CA | MD | Pharmacist |
| RPH028067 | GA | MD | Community/Retail Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1568913770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 1/2 S BRONSON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900193221",
"telephone_number": "404-384-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900354713",
"telephone_number": "213-800-8410"
}
],
"practiceLocations": [
{
"address_1": "13463 Washington Blvd",
"address_purpose": "LOCATION",
"city": "Marina Del Rey",
"state": "CA",
"postal_code": "902925658",
"country_code": "US",
"telephone_number": "310-754-2002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "MELANIE QUYNH-TIEN",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "RPH028067",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH87795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.